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NPI Code Detail

MEDICARE: JST INC

MEDICARE: JST INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument SpecialistHA 3142CA

General Provider Information

NPI Number : 1104908375
Entity Type Code : Organization
Provider Name (Legal Business Name) : JST INC
Provider Business Mailing Address
First Line : 3500 E COLORADO BLVD STE 108
Second Line :
City : PASADENA
State : CA
Zip : 91107-3832
Country : US
Telephone Number : 626-585-8883
Fax Number : 626-585-6544
Provider Business Practice Location Address
First Line : 3500 E COLORADO BLVD STE 108
Second Line :
City : PASADENA
State : CA
Zip : 91107-3832
Country : US
Telephone Number : 626-585-8883
Fax Number : 626-585-6544
Authorized Official
Title or Position : PRESIDENT
Name : MR. JERRY S TAN
Credential :
Telephone Number : 626-585-8883
Provider Enumeration Date : 10/19/2006
Last Update Date : 07/11/2008

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Directions to “JST INC ” Practice Location

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